Councillor Izzi Seccombe and
Nigel Minns (WCC), Julie Grant (NHS England and Improvement),
Russell Hardy (GEH and SWFT), Polly Reed (Office of the Police and
Crime commissioner) and Dianne Whitfield (CWPT).
David Eltringham (GEH), Becky
Hale (WCC) and Sir Chris Ham (C&W Health and Care
Members' Disclosures of Pecuniary and Non-Pecuniary Interests
Councillor Roodhouse declared an interest as a
director of Healthwatch Warwickshire.
Minutes of the Meeting of the Warwickshire Health and Wellbeing Board on 7 July 2021 and Matters Arising PDF 280 KB
Draft minutes of the previous meeting are
attached for approval.
The Minutes of the Board meeting held on 7
July 2021 were accepted as a true record.
The Chair welcomed everyone to the meeting,
explaining that some of the officers presenting reports would be
joining remotely and she outlined the agenda content.
The Chair advised that an Integrated Care
System (ICS) workshop for the Board would take place on 18 October
and be facilitated by the Kings Fund. This would be followed by a
presentation for elected members. She spoke of the pace of this
work, the interviews for Chair of the ICS and the recommendation on
appointment referred to the Secretary of State. This would shortly
be followed by the recruitment process for the ICS Chief
Coventry and Warwickshire Local Transformation Plan PDF 299 KB
To consider and endorse the Local
Transformation Plan (LTP) for Children and Young People’s
Mental Health and Wellbeing 2021-2022 - Rachel Jackson and Rob
Sabin (WCC), Chris Evans (CWPT)
This item was introduced by Rachel Jackson and
Rob Sabin of WCC, together with Chris Evans of CWPT.
The ‘Future in
Mind’ review, released in 2015, set out a series of
recommendations to improve outcomes for children and young
people’s (CYP) mental
health and emotional wellbeing. The key principles of the review
were set out within the report and reflected in NHS guidance and
ambitions. This included a requirement for local areas to develop
specific Local Transformation Plans (LTP) for CYP on an annual
basis to demonstrate how the NHS ambition was being fulfilled. The
Coventry and Warwickshire CYP Mental Health and Emotional Wellbeing
LTP had been updated for 2021-22 and was submitted for the
Board’s endorsement. It had been developed collaboratively
between the two local authorities (WCC and Coventry City Council),
the CWCCG and CWPT. The emerging
ambitions were reported and had been included in the LTP delivery
plan for 2021-22. A copy of the LTP was
appended to the report for consideration.
highlighted key sections of the report providing examples of the
initiatives on early help and prevention, the eating disorder
pathway, strengthening the multi-agency approach to services for
CYP and digital services. Feedback was being sought from CYP in
crisis to shape co-production of the service offer for 18-25
year-olds. Transition work was also planned.
There had been a
number of challenges, with reference to system capacity demand for
children in crisis, CYP presenting with more complexity of need,
access to services, timeliness and effectiveness of service
delivery. Similar capacity issues were reported for the eating
disorder pathway. Reference to the additional difficulties caused
by the Covid pandemic for children looked after, those with special
educational needs and disabilities (SEND) and with the Youth
Justice Service. The ability to engage with CYP and measure
outcomes had similarly been impacted. These challenges had been
taken on board in formulating the ambitions which were set out in
Questions and comments were invited with
responses provided as indicated:
- Reference to the outcome of the SEND
inspection, which was awaited, the increases in SEN cases and the
lack of real improvement in this area. Points about wider social
issues, family issues and poverty, which required a partnership
approach. The funding aspects were raised.
- Discussion about the governance
process, the key lines of enquiry provided by NHS England and
requirement for both this Board and that for Coventry to sign off
the plan. Comment on the valuable local knowledge and opinions
amongst Board members which should inform the process. These points
would be made to NHS England.
- A view that there was a lack of
support and funding for children in rural areas. It seemed from
contact with school headteachers and parents of children that there
was an issue to be addressed. Officers confirmed that any school
could make a referral for CAMHS services. An outline was given of
the other support available, including for professionals in
schools. There were plans to expand the support teams piloted in
view the full minutes text for item 2.
Healthwatch Warwickshire Annual Report 2020-21 PDF 1 MB
A presentation will be provided by Healthwatch
Warwickshire on its Annual Report for 2020-21. A copy of the annual
report is available
here – Chris Bain
Elizabeth Hancock, Chair of Healthwatch
Warwickshire (HWW) introduced this item. A presentation had been
circulated with the agenda covering the following areas.
- Performance Report: How we are
- All staff working from home
- Virtual board meetings
- Telephone service to the public
- Website enquiries; use of social
- Information on service changes (via
website) updated regularly
- Engagement strategy with all key
- Public engagement and outreach
largely on a virtual basis
- Surveys and projects delivered
- Performance Report: Activity May
– July 2021
- This comprised pieces of feedback,
signposting people to partner agencies, increased social media
profile and use of the HWW website as well as an increase in the
HWW mailing list
- Our Influencing role May –
- Attending 49 strategic meetings
- Within this reference to the ICS and
the closer work with Healthwatch Coventry
- Project work which raised issues and
Chris Bain, Chief Executive of HWW then spoke
on the following areas:
- Published reports:
- Annual Report (a statutory
- Dentistry in Warwickshire
- Carers – understanding your
health and wellbeing needs
- Context on the core functions of HWW
and the added value from identifying trends and emerging
priorities, leading to the above reports.
- Carers survey highlights
- This was in response to growing
enquiries from carers about their needs. There was recognition of
the effort and emphasis of support for carers in Warwickshire, both
from WCC and the voluntary and community sector. Plans to revisit
the exercise in the Spring of 2022.
- 239 people had responded to the
survey and key data was provided from the analysis
- Dentistry survey highlights
- A continuing issue first identified
in May 2020
- Calls to 53 dental practices which
showed variance in the number taking NHS patients.
- A particular issue in the Stratford
and Rugby areas where none of the 20 practices offered NHS
services; approximately half of those in other areas offered NHS
- The position seemed to be
deteriorating and there were long term implications for oral
health, including cancer.
- The requirements for cleaning and
ventilation were restricting capacity.
- It was considered that dentistry
should be commissioned locally, and this was planned as part of the
ICS arrangements, but had recently been delayed until April
- Looking forward - showing the top
four areas people had contacted Healthwatch about, both from
enquiries and the annual report. This showed increasing concerns in
regard to mental health. Access to GPs and dentistry remained a
- Future Priorities
- Strategic direction after
- The future for patient
- Patient voice in integrated care
- NHS administration
- Deafness and accessing care
- Lived experiences of people with
- Health and social care forum
The following questions and comments were
- On the carers’ strategy, a
question on next steps how to take the findings, explore these
issues further and secure meaningful outcomes as a partnership. HWW
was working with the Carers’ Forum and voluntary sector
partners. An aim to co-design the support that carers needed. There
was an emerging ...
view the full minutes text for item 3.
Health and Wellbeing Partnership Plans PDF 3 MB
A combined presentation to the Board from the
North, Rugby and South Health and Wellbeing Board
Partnership’s and NHS Place Executive’s for
Warwickshire - Nigel Minns and Gemma McKinnon (WCC), Chris
Elliot (WDC), Anne Coyle (SWFT), Mannie Ketley (RBC), Katie Wilson
(WCC) and Steve Maxey (NWBC)
Dr Shade Agboola, WCC Director of Public
Health introduced this item. It comprised a series of presentations
showing the progress made by the North, Rugby and South Health and
Wellbeing Board Partnerships and NHS Place Executives. She provided
context on the places and the different speakers involved which was
a testament to the partnership working on the place agenda. A recap
was provided on the Health and Wellbeing Strategy adopted in March
The following slides were provided:
- Warwickshire’s population
health framework, describing the collective long-term strategic
ambitions, areas of immediate focus and the four quadrants of
focussed activity, which should improve health outcomes in
Warwickshire. Each of the place plans was based on this model.
- A slide showing the reporting
arrangements, including the direct link from each place into the
Health and Wellbeing Board. Each comprised a place partnership and
place executive, with the arrangements varying to suit each area
and its priorities.
- The partnerships forward plan.
Steve Maxey gave a presentation on behalf of
the North Place, which covered the following areas:
- North population health
- Progress on Partnership
- Governance arrangements for
Partnership and Executive.
- North Place Project SITREP for
Place Executive priority view – wider determinants of
Place Executive project view – wider determinants of
- Reference to the housing initiatives
and those related to hospital discharge.
- An area of challenge concerned the
merger of the CCG, impacting on some aspects of data available at
the place level. This was being worked through with the CCG. Shade
Agboola asked for examples of the data that was no longer
available, so this could be investigated. Sarah Raistrick similarly
asked for specific examples and felt the data should be
- A further concern was the need for
replacement of a public health consultant for the north area. Shade
Agboola gave a brief outline of the temporary public health cover
being provided and would be speaking with Steve Maxey later in the
day regarding the recruitment of a replacement consultant. This was
a joint post and required input from the ICS.
- Salmah Mahmood, Place Programme
Manager at GEH spoke of the good partnership work that was taking
place, bringing place plans together and looking at further areas
for integration and joint opportunities.
Katie Wilson of WCC Public Health and Blair
Robertson of UHCW gave a presentation on the following areas:
- Population health framework –
shared priorities across both the place partnership and delivery
group, using a task and finish approach to address priorities.
- Progress on the following
- Mental health and wellbeing –
self harm in young people
- Poverty and inequalities
- Health behaviours –
- Covid-19 recovery
- LTCs – heart failure
- Covid-19 recovery and the Rugby
incident management team, with thanks to colleagues involved in the
place partnership and delivery group for their work. Recent work on
vaccinations and contact tracing were highlighted.
- Blair Robertson of UHCW and
Charlotte Temple of Community Connections provided detail on the
priority on children and young ...
view the full minutes text for item 4.
Forward Plan PDF 265 KB
An update will be provided on future items for
the Board and Joint Place Forum Meetings – Gemma
The Board gave consideration to its forward
plan of items.
That the Health and Wellbeing Board notes its